TRAINING COURSE FOR MASTER TRAINERS IN BREAST, CERVICAL, COLORECTAL AND
ORAL CANCER EARLY DETECTION AND CONTROL
Jointly organised by The National Cancer Control Programme, Ministry of Health and Indigenous Medicine, Colombo, Sri Lanka The International Agency for Research on Cancer, World Health Organization (IARC/WHO), Lyon, France; The WHO Country Office, Colombo, Sri Lanka
PROGRAMME 26 29 May 2015
Training course location:
Hector Kobbekaduwa Agrarian Research and Training Institute 114, Wijerama Mawatha, Colombo 07, Sri Lanka.: +94-11-2698539-41 / +94-11-7417100-5 Web site : http://www.harti.gov.lk/ Cervical & Breast Cancer Early detection and control for MO/MCHs 26-27 May 2015 - Narayanasamy Conference Hall Cervical, Breast, Colorectal and Oral Cancer Early detection and control for MO/NCDs 28-29 May 2015 - Narayanasamy Conference Hall Oral Cancer Early detection and control for Regional Dental Surgeons 29 May 2015 - Subasinghe Conference Hall With generous support from A GETI Fellowship from the International Union Against Cancer (UICC)
NATIONAL FACULTY Dr Kanishka Karunaratne Consultant Gyneoncologist, NCI Maharagama nlkgkaru@yahoo.com Dr Samanthi Premaratne Consultant Gyneoncologist, NCI Maharagama samanthipremaratne@gmail.com Dr Himali Ihalagama Consultant Gyneoncologist, NCI Maharagama himaliihalagama@yahoo.com Dr Kanishka De Silva Consultant Oncosurgeon, NCI Maharagama gksdesilva@gmail.com Dr Ajith De Silva Consultant General Surgeon, NHSL adesilva60@yahoo.com Dr Yasantha Ariyaratne Consultant Oncologist, NCI Maharagama yariyaratne@yahoo.com Dr B.G.N. Rathnasena Consultant General Surgeon, NHSL nimalrsena@gmail.com Dr Ranil Jayasena Consultant GI Surgeon, NHSL rjayasena@gmail.com Dr N.M.M. Navarathne Consultant GI Physician, NHSL nmmnawarathne@gmail.com
Dr Hemantha Amarasinghe Cancer Epidemiologist & Board Certified Consultant in Dental Public Health Research and Surveillance Unit, Institute of Oral Health hemanthaamarasinghe@yahoo.com
Prof W.M. Thilakaratne
Professor of Oral Pathology, Faculty of Dental Sciences, University of Peradeniya wmtilak@pdn.ac.lk Dr Padma De Silva Consultant OMF Surgeon, DI Colombo spadmasilva@gmail.com Dr D.K. Dias Consultant OMF Surgeon, TH Karapitiya dkdias@sltnet.lk Dr Janakie Fernando Consultant Histopathologist of National Hospital janakifernando@gmail.com Dr Pandula Hettiarachchi Consultant Radiologist of National Hospital pandula69@icloud.com Dr Prasanna Jayasekara Consultant in Community Dentistry National Cancer Control Programme, Ministry of Health and Indigenous Medicine jayasekara_prasanna@yahoo.com Dr Nayana De Alwis Consultant Community Physician National Cancer Control Programme,
Ministry of Health and Indigenous Medicine
dealwisnayana@gmail.com Dr Nethanjalie Mapitigama Programme Manager Women Health Family Health Bureau, Ministry of Health and Indigenous Medicine nethmap@hotmail.com Dr Ramani Punchihewa Consultant Pathologist District General Hospital - Kalutara ramanipunchihewa@yahoo.com
INTERNATIONAL FACULTY Dr Rengaswamy Sankaranarayanan, Course Director Special Advisor on Cancer Control The International Agency for Research on Cancer (IARC/WHO), Lyon, France Dr Walter Prendiville Senior Visiting Scientist The International Agency for Research on Cancer (IARC/WHO), Lyon, France Dr Babu Mathew Professor of Community Oncology, Regional Cancer Centre Trivandrum, India Dr Ashrafun Nessa Professor, Department of Obstetrics & Gynaecology, BSMMU Dhaka, Bangladesh Dr Aylor S. Ramakrishnan Additional Professor (GI & HPB oncology), Surgical Oncologist Cancer Institute (WIA), Chennai, India
LOCAL ORGANIZERS
Dr Eshani Fernando, Director
Dr Nayana De Alwis, Consultant Community Physician Dr Prasanna Jayasekara, Consultant in Community Dentistry National Cancer Control Programme, Ministry of Health and Indigenous Medicine, Colombo, Sri Lanka Dr Suraj Perera, Consultant Community Physician, Course Co-Director National Cancer Control Programme, Ministry of Health and Indigenous Medicine, Colombo, Sri Lanka
COURSE SECRETARIAT: Ms Sandrine Montigny, Screening Group The International Agency for Research on Cancer (IARC/WHO), Lyon, France montignys@iarc.fr
Tuesday 26 May 2015 (for MO/MCHs day 1 of 2)
Narayanasamy Conference Hall 09.00 09.10
Welcome and Opening Ceremony
09.10 - 09.20
Presentation of workshop objectives,
expected results and outcomes
09.20 09.35
Pre-workshop evaluation questionnaire
09.35 10.00
Introductions (participants and faculty)
Dr Eshani and Sri Lankan colleagues
Dr Eshani/Dr R. Sankar
Cervical Cancer Early detection and control
10.00 10.15
Cervical cancer: causes, global burden and prevention using
Dr R.
Sankar
HPV vaccination 10.15 - 10.30
Coffee break
10.45 11.00
Anatomy and physiology of lower genital
tract with particular emphasis on the cervix Natural history and pathology of cervical neoplasia Screening for cervical cancer: cytology, HPV testing,
11.15 11.30 11.30 12.00
Premaratne
Dr H. Ihalagama Dr R. Sankar Dr S.
Visual screening 12.00 12.15
Current situation in Cervical Cancer Screening
Dr N. Mapitigama
Programme in Sri Lanka and way forward
12.15 - 12.25
Cervical Cytology & Reporting in cervical cancer
screening programme in Sri Lanka Introduction to colposcopy: Colposcopic features of
12.25 13.10
Dr R. Punchihewa Dr W. Prendiville
normal cervix, inflammation, CIN and preclinical
early invasive cancer; role of colposcopy in the early detection and prevention of cervical neoplasia 13.10 - 14.00
Lunch
14.00 14.30
Treatment of precancerous lesions using
thermocoagulation (cold coagulation) and cyotherapy Treatment of precancerous lesions using LLETZ
14.30 15.15
Dr A. Nessa Dr W. Prendiville
and cold knife conization
15.15 - 15.45
Staging and surgical management of cervical cancer
15.45 16.00
Coffee break
16.00- 16.20 16.20 16.50
Non-surgical management of cervical cancer
Bangladesh national cervical screening programme
16.50 17.20
Screening for cervical cancer:
Dr K. Karunaratne
Dr R. Sankar Dr A. Nessa
Dr Eshani and Sri Lankan colleagues
Strategies and recommendations,
National Guidelines, discussion and questions
Wednesday 27 May 2015 (for MO/MCHs day 2 of 2)
Narayanasamy Conference Hall Breast Cancer Early detection and control 09.00 09.30
Global burden risk factors and prevention breast cancer
09.30 10.00 10.00 - 10.25 10.25 10.50 10.50 11.00
Anatomy of the breast, symptoms
Dr Ajith De Silva signs and staging of breast cancer Breast awareness, breast self- examination Dr R. Sankar Screening and early diagnosis by clinical breast examination Dr A. Nessa Strengthening early detection of breast cancers Dr N. de Alwis
11.00 11.30
Coffee break
11.30 12.00
Mammography and ultrasonography in screening
Dr R.
Sankar
Dr P. Hettiarachchi
12.00 12.30
and early diagnosis of breast cancer
The role of cytology and histopathology including immuno-histochemistry in the early diagnosis
Dr J. Fernando
and management of breast cancer
12.30 13.30
Lunch break
13.30 14.00
Treatment of breast cancer: surgery
14.00 14.30
Treatment of breast cancer: radiotherapy
Dr Y. Ariyaratne
14.30 15.00
Treatment of breast cancer: adjuvant chemo
Dr Y. Ariyaratne
Dr Kanishka De Silva
and hormone therapy
15.00 15.30
Coffee break
15.30 16.00
Practical sessions on clinical breast examination and diagnosis of breast
cancer: using breast prosthesis.
16.00 16.30
General discussion: Breast cancer
Dr Eshani & Sri Lankan
colleagues
early detection approaches in primary care
and breast cancer control policy in Sri Lanka 16.30 17.00
Post-workshop evaluation questionnaire
17.00 17.30
Distribution of certificates, Closing ceremony
Thursday 28 May 2015 (for MO/NCDs day 1 of 2)
Narayanasamy Conference Hall
08.00 08.15
Welcome and Opening Ceremony
Dr Eshani and Sri Lankan colleagues
Presentation of workshop objectives,
expected results and outcomes 08.15 08.30
Pre-workshop evaluation questionnaire
08.30 08.45
Introductions (participants and faculty)
Dr R. Sankar
Cervical and Breast Cancer Early detection and control
09.00 - 09.45 09.45 10.15
Anatomy and physiology of the lower genital tract, natural history of
cervical cancer, screening methods for cervical neoplasia Dr R. Sankar Introduction to the role of colposcopy in the prevention of Dr R. Sankar cervical cancer
10.15 10.45
Treatment of precancerous lesions by cold coagulation
and cyotherapy
10.45 - 11.00
Coffee break
11.00 11.20
Treatment of precancerous lesions by LLETZ and
Dr A. Nessa
Dr K.
Karunaratne
cold knife conization
11.20 11.50
Staging and surgical management of cervical cancer
11.50 - 12.10 12.10 - 12.30
Non-surgical treatment of cervical cancer
Prevention of cervical cancer by HPV vaccination
12.30 13.00
Prevention & screening of cervical cancer:
Dr K. Karunaratne Dr R. Sankar Dr A. Nessa
Dr Eshani & Sri Lankan
colleagues
Strategies and recommendations,
National Guidelines, discussion and questions 13.00 - 14.00
Lunch break
14.00 14.30
14.50 - 15.10
Anatomy of the breast, symptoms, signs and staging
Dr Ajith Da Silva of breast cancer Breast awareness, breast self- examination, and clinical Dr A. Nessa breast examination in the early diagnosis of breast cancer Mammography and ultrasonography in the early Dr P.
15.10 - 15.30
diagnosis and management of breast cancer
Fine needle aspiration cytology and histopathology
15.30 15.45
Coffee break
15.45 16.05
Treatment of breast cancer: surgery
16.05 16.30
Treatment of breast cancer: radiotherapy,
14.30 - 14.50
Hettiarachchi
Dr J. Fernando
Dr Kanishka Da Silva Dr Y. Ariyaratne
chemotherapy and hormone therapy
16.30 16.45
Practical sessions on clinical breast examination
and diagnosis of breast cancer: using breast prosthesis.
16.45 17.00
General discussion: Breast cancer
Dr Eshani & Sri Lankan
colleagues
early detection approaches in primary care
and breast cancer control policy in Sri Lanka
Friday 29 May 2015 (for MO/NCDs day 2 of 2)
Narayanasamy Conference Hall Colorectal and Oral Cancer Early detection and control 09.00 - 09.30
Anatomy of the large bowel, natural history
Dr B.G.N. Rathnasena of colorectal cancer: adenoma-carcinoma sequence, neoplastic and non-neoplastic lesions of the colorectal mucosa
09.30 09.45
Colorectal cancer screening using fecal occult blood
testing (FoBT)
09.45 10.15
Staging and treatment of colorectal cancer
10.15 10.45
The role of colonoscopy in the early detection of colorectal Dr R. Jayasena
Coffee break Demonstration of the FoBT kit with faecal samples, demonstration of colonoscopy and endoscopic excision procedures using videos
12.00 -12.30
General discussion: Integrating colorectal
Dr Eshani & Sri Lankan
colleagues
cancer early detection and referral in primary care
12.30 - 13.30
Lunch break
14.00 14.30
Anatomy of the oral cavity and oral visual and soft
Dr B. Mathew tissue examination methods and documenting findings Natural history of oral carcinogenesis: Dr W.M. Thilakaratne oral precancerous lesions Screening and early diagnosis of oral precancerous Dr B. Mathew lesions and oral cancer using oral visual screening
14.30 15.00 15.00 15.30 15.30 15.45
Coffee break
15.45 16.00 16.30 17.00
Management of oral precancerous lesions
Dr Padma Da Silva Staging and surgical management of oral cancer Dr D.K. Dias Non-surgical management of oral cancer Dr R. Sankar Screening for oral cancer: Strategies Dr Eshani & Sri Lankan colleagues
- 16.00 16.30 17.00 - 17.30
17.30 17.45 17.45 18.15
and recommendations, National Guidelines,
discussion and questions Post-workshop evaluation questionnaire Distribution of certificates, Closing ceremony
Friday 29 May 2015 (for Regional Dental Surgeons)
Subasinghe Conference Hall Oral Cancer Early detection and control 08.00 08.15
Welcome and Opening Ceremony
Dr Eshani and Sri Lankan colleagues
08.15 - 08.30
Presentation of workshop objectives,
expected results and outcomes
08.30 08.45
Pre-workshop evaluation questionnaire
08.45 09.00
Introductions (participants and faculty)
09.00 09.30 09.30 10.00
Global burden of and risk factors for oral cancer
Dr H. Amarasinghe Anatomy of the oral cavity and oral visual and soft Dr B. Mathew tissue examination methods and documenting findings Natural history of oral carcinogenesis: Dr W.M. Thilakaratne oral precancerous lesions Screening and early diagnosis of oral cancer Dr B. Mathew using oral visual screening
10.00 10.30 10.30 11.00 11.00 11.15
Coffee break
11.15 11.30
Adjunctive tests for early detection
11.30 - 12.00 12.00 - 12.30 12.30 - 13.00
of oral neoplasia Management of oral precancerous lesions Staging and management of oral cancer Non-surgical management of oral cancer
13.00 14.00
Lunch break
14.00 - 14.30
16.00 16.30
Screening for oral cancer: Strategies
and recommendations, National Guidelines, discussion and questions Practical sessions using videos/photos of oral precancerous and cancer lesions General discussion
16.30 17.00
Post-workshop evaluation questionnaire
17.00 - 17.15
Distribution of certificates, Closing ceremony
14.30 16.00
Dr R. Sankar
Dr W.M.
Thilakaratne
Dr Padma Da Silva Dr D.K. Dias Dr R. Sankar
Dr P. Jayasekera
Workshop documents will be accessible to participants:
Sri Lanka NCCP documents and early detection guidelines for cervix, breast and oral cancers Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: A Beginners Manual
Manuals on the role of cold coagulation and cryotherapy in the treatment of cervical intraepithelial neoplasia (CIN) lesions E-publication book chapter Treatment of precancerous cervical lesions Training materiel on VIA, VILI, LEEP, cryotherapy and cold coagulation and other electronic documents in PDF). Breast, oral and cervix cancer early detection charts IARC Manual on early detection of breast cancer IARC Manual on early detection of oral neoplasia IARC manual on colonoscopy and early detection of colorectal cancer Selected literature on breast, cervix, colorectal and oral cancer early detection and treatment WHO Guidance note on cervical cancer control WHO position paper on HPV screening WHO guidelines on mammographic screening IARC Publications (Sankar et al in Cancer Control by INCTR) on cervix, breast and colorectal cancer early detection in primary care
